External Audit Manager

FreedomCare•Holtsville, NY

3d•$93,000 - $110,000•Remote

About The Position

FreedomCare is seeking an External Audit Manager for its Compliance team. This remote position plays a crucial role in ensuring the company is prepared for and effectively responds to external audits. The manager will coordinate regulatory, payer, Medicaid, CMS, OIG, state agency, and accrediting body audits, manage documentation, prepare responses, develop corrective action plans, and conduct root cause analyses. This role serves as the primary liaison for external audits, working cross-functionally to maintain audit readiness.

Requirements

Bachelor’s degree in healthcare administration, business administration, public health, legal studies, compliance, or a related field required.
Eight or more years of experience in healthcare compliance, regulatory affairs, auditing, quality assurance, Medicaid, managed care, or home health/home care operations required.
Strong working knowledge of Medicaid-funded home care regulations, healthcare compliance requirements, audit methodology, survey processes, and documentation standards.
Demonstrated ability to assess risk, investigate issues, identify root cause, and recommend practical corrective actions that reduce repeat findings.
Strong document control, project management, and organizational skills, with the ability to manage multiple audits, deadlines, stakeholders, and evidence requests simultaneously.
Excellent written and verbal communication skills, including the ability to prepare audit responses, summarize findings, and translate regulatory requirements into clear guidance for operational partners.
Strong analytical skills with the ability to interpret data, identify trends, monitor remediation progress, and present status updates to leadership.
Sound judgment, discretion, and attention to detail when handling confidential, sensitive, or regulatory documentation.
Comfortable working in a fast-paced, remote environment where priorities may shift based on regulatory deadlines, external reviewer requests, and business needs.

Nice To Haves

Experience managing external audits, survey responses, Medicaid/CMS or state agency reviews, SOD responses, CAP development, and corrective action tracking strongly preferred.
CHC, CHPC, CCEP, or similar compliance certification preferred.

Responsibilities

Serve as the primary point of contact and internal coordinator for external audits, surveys, regulatory reviews, payer audits, and oversight inquiries.
Coordinate audit timelines, logistics, document requests, evidence collection, stakeholder follow-up, and submission readiness.
Lead or support responses to federal, state, Medicaid, CMS, OIG, accrediting body, MCO, and payer audits in partnership with Compliance leadership and cross-functional teams.
Review audit findings, identify risk areas, and prepare timely, well-supported responses to Statements of Deficiency (SODs), requests for information, and related audit correspondence.
Develop, implement, and monitor corrective action plans (CAPs) that address root cause, ownership, timelines, required evidence, and sustainable remediation.
Track CAP completion, validate effectiveness, and escalate overdue or high-risk remediation items.
Conduct root cause analyses of audit findings and identify trends, repeat issues, or control gaps that require operational process improvement.
Maintain the audit repository, evidence files, response trackers, CAP logs, and supporting documentation in an organized, accurate, and audit-ready manner.
Partner with Operations, Clinical, HR, Legal, Finance, IT, and Compliance stakeholders to gather information, clarify requirements, resolve documentation gaps, and support consistent execution.
Present audit status, findings, trends, risks, and remediation progress to Compliance leadership and other business leaders.